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Clarius Classroom

POCUS for Vascular Access

Dr. Oron Frenkel

Ultrasound-guided vascular access is a technique that can increase safety as well as technical and procedural success during injections or catheter placements. See how to identify vascular structures and distinguish veins from arteries prior to placing the needle.

Specialties: Critical Care, Emergency Medicine, EMS, Hospitalist, Nursing, Primary Care, Rural, Vascular Access
Applications: Vascular Access, Venous
i'm oran frankel an emergency physician point-of-care ultrasound is an incredibly powerful tool to help find my vascular targets and guide vascular access in real time to perform this procedure i'll use a linear scanner here on a venous preset once i identify potential target vessels i can do a few maneuvers to ensure the safety of my procedure first is i'll do simple compression and make sure that it truly is a vein with compressibility versus arterial that shouldn't compress and i can see its pulsations i can identify surrounding structures such as the nerve bundle here around the vessels and lastly i can put on color flow to really identify my arterial versus venous flow and ensure that i haven't misdirected my procedure at the wrong vessel once i've confidently identified my target i can then use the same ultrasound once my setup is ready to guide the procedure and watch my needle enter the vessel in real time

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